Corporate Compliance

Auditing graduate medical education

Healthcare Auditing Weekly, September 27, 2005

This issue, we'll continue our discussion of steps for auditing graduate medical education. Last week, we reviewed steps for verifying residency approval and foreign medical school graduates. Next, we'll discuss steps for reviewing residency periods and full time equivalent (FTE) time.

To review residency periods

  • determine the length of the initial residency period (IRP) per specialty

  • verify whether the FTEs were properly weighted

  • hospitals may count residents in their IRP as 1.0 FTE

  • after the IRP, hospitals must count residents as 0.5 FTE

    To review FTE time

  • obtain the rotation schedules for all claimed residents

  • verify whether the hospital properly computed individual FTE time

  • verify that the hospital claimed this time in compliance with Medicare regulations

      The above tip is an excerpt from the book "Hospital Auditing and Monitoring: Sample Programs for Key Risk Areas." Copyright 2004 by HCPro, Inc. This book is a step-by-step, practical manual that offers sample audit programs for the most troublesome areas that a hospital must audit. The binder and CD-ROM are filled with actual audit programs used by auditors and compliance officers in the field. Click here for more information or to order your copy today.

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